ประสิทธิผลของการเตรียมลำไส้ของผู้ป่วยก่อนเข้ารับการส่องกล้องตรวจลำไส้ใหญ่ โดยการให้อาหารกึ่งสำเร็จรูปไฟเบอร์ต่ำ ที่ศูนย์ส่องกล้องทางเดินอาหาร โรงพยาบาลราชวิถี

Pim-on Cheenthra; Warangkana Chanaken; Apichet Sirinawasatien

Authors

Pim-on Cheenthra Rajavithi Hospital
Warangkana Chanaken Rajavithi Hospital
Apichet Sirinawasatien Rajavithi Hospital

Keywords:

Bowel preparation, Colonoscopy, Low-fiber semi-finished food

Abstract

Background: High-fiber diet is a factor contributing to poor bowel preparation in patients undergoing colonoscopy. The Gastrointestinal Endoscopy Center, Rajavithi Hospital, in collaboration with the Food Product Research and Development Institute, Kasetsart University, developed a prototype of a ready-to-eat, low-fiber semi-finished food product: ready-to-eat chicken and egg rice porridge. Objective: To compare colon preparation quality between patients who received low-fiber semi-finished food and those who did not, and to evaluate patient satisfaction with the low-fiber semi-finished food. Method: A quasi-experimental study in patients undergoing colonoscopy at Rajavithi Hospital between January 2021 and September 2022. The calculated sample size was 50 patients per group. The quality of bowel preparation was assessed using the Boston Bowel Preparation Scale (BBPS) guidelines. A BBPF score of ≥ 6 points were considered adequate for colonoscopy. Result: Comparison of the bowel cleanliness score in each location found that the group receiving the low-fiber bowel preparation foods had significantly higher scores for bowel cleanliness than those not receiving the low-fiber bowel preparation foods. The patients’ satisfaction with the overall food product was at the highest level (mean = 4.36, SD = 0.90), while the smell of the food was at a high level (mean = 3.92, SD = 1.05). Patients in the low-fiber bowel preparation diet group were able to follow the instructions at 94%, 6% were unable to follow the instructions, 28% felt hungry between meals, 26% felt tired, and 6% had side effects. Conclusion: Bowel preparation with low-fiber semi-finished food instead of liquid diet on the second day of bowel preparation significantly reduced the fatigue and hunger of the patients and the level of bowel cleanliness was good. A BBPS score ≥ 6 points or more, helped to clearly see lesions or abnormalities in the large intestine, thereby lead to effective diagnosis and treatment.

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